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Compare/C38.0 vs C49

C38.0 vs C49

C38.0 (Malignant neoplasm of heart) compared with C49 (Malignant neoplasm of other connective and soft tissue), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. C49 carries an Excludes2 note covering C38.0: “malignant neoplasm of heart (C38.0)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

C38.0Malignant neoplasm of heartC49Malignant neoplasm of other connective and soft tissue
Billing statusBillableNon-billable header

Report instead: C49.0, C49.10, C49.11, C49.12, C49.20

ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionMalignant neoplasm of heart is a billable ICD-10-CM diagnosis code (C38.0).Malignant neoplasm of other connective and soft tissue is a non-billable ICD-10-CM category code (C49).
Includes
malignant neoplasm of middle ear
Malignant neoplasm of pericardium
malignant neoplasm of blood vessel
malignant neoplasm of bursa
malignant neoplasm of cartilage
malignant neoplasm of fascia

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources